Speaking at the IoT Tech Expo conference in London last week, a panel of healthcare experts tackled the maturity of IoT in healthcare, discussing what must happen going forward.

Dr Shafi Ahmed, consultant general, The Royal London and St Bartholomew’s Hospital, said that IoT has been coming through mobile usage in primary and secondary care, but suggests that technology integration with existing healthcare systems is vital for future adoption.

David Doherty, co-founder of 3G Doctor, said that the IoT is not necessarily new in healthcare, explaining how healthcare professionals are well-versed in collecting and analysing patient data. However, while he’s encouraged by the opportunities presented by smartphones and IoT, he questions if most patients are even aware of the open data already available to them.

It’s clear that the patient must drive this change – but experts suggested that this may not always be the case.

Karina Marcus, director of the central management unit, Ambient Assisted Living Programme ICT at the European Union, believes that older persons could be left behind.

“In 2008, we started to see more and more projects we fund including connected devices but when we now ask older people do they know what IoT is, they say ‘no’.”

She said that these people must have access and trust in the system and that the whole service around the connected device must be safe and secure.

Patient and patient self-management expert David Festenstein, himself a stroke victim, questions whether IoT could have helped him. “Even if it was unavoidable, what would it have been like for my recovery?”

“I am really excited by the prospect of IoT and how health can build upon that.”

IoT in secondary care

Ahmed sees secondary care as a big opportunity for IoT and mobile, with remote monitoring an increasing possibility.

“Imagine a world we don’t need to see the person for follow-up, it’s better for us and the patient,” said Ahmed, who is also speaking at the Internet of Healthcare.

“Suddenly we might decide the whole outpatient appointment can be done remotely, becoming more cost effective.”

Doherty said, however, that there is no ‘Uber experience’ in healthcare with clinicians apathetic towards technology vendors. IoT isn’t yet totally fit for purpose.

“This should be done with clinicians needs, that’s where opportunity is. As patients, we all want [IoT] but we’ve got to stop saying there’s not enough money. We’ve got to empower patients with their own data.” IoT, he says, could ultimately lead to prevention units.

Marcus agreed, stressing that data must be collected in “very intelligent way”, while Ahmed said that devices will have to be centralized and managed. Festenstein stresses too that data privacy is key.

Doherty suggests that, ultimately, IoT movement must come from the patient in this new era of self-care .

“We have to be the driver of a lot of these changes. We can be the motivator to make this all happen. It’s sad we have left patients to do it, but I believe it’s the best way to move forward.”